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Brain MRI demonstrating cerebral edema after CAR-T cell therapy

Brain MRI demonstrating cerebral edema after CAR-T cell therapy
Pretreatment magnetic resonance axial T2-weighted FLAIR image (A) demonstrates a normal appearance of the cortex and hypointense white matter. Following CAR-T cell infusion and neurologic deterioration, repeat imaging (B) demonstrates diffuse cortical thickening (arrow) and hyperintensity in the white matter (asterisk) reflective of edema.
MRI: magnetic resonance imaging; CAR-T: chimeric antigen receptor T; FLAIR: fluid-attenuated inversion recovery.
From: Guha-Thakurta N, Wierda WG. Cerebral edema secondary to chimeric antigen receptor T-cell immunotherapy. Neurology 2018; 91:843. DOI: 10.1212/WNL.0000000000006436. Copyright © 2018 American Academy of Neurology. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
Graphic 130036 Version 1.0